Individual provider Active NPI

Michelle Lynn Aafedt, MS,OTR/L,CLT

  • Occupational Therapist
  • Hamden, CT
National Provider Identifier
1952646655
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003294 Issued in CT
Practice address
3074 Whitney Ave
Building 1
Hamden, CT 06518-2391
Phone
(203) 230-2800
Fax
(203) 230-9791
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003294 CT Primary

Addresses

Primary practice location

3074 Whitney Ave
Building 1
Hamden, CT 06518-2391

Mailing address

3074 Whitney Ave
Building 1
Hamden, CT 06518-2391
Phone (203) 230-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
003294CTMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1952646655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 WHITNEY AVE",
            "address_2": "BUILDING 1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182391",
            "telephone_number": "203-230-2800",
            "fax_number": "203-230-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 WHITNEY AVE",
            "address_2": "BUILDING 1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182391",
            "telephone_number": "203-230-2800",
            "fax_number": "203-230-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AAFEDT",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MS,OTR/L,CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.